MECHANISM OF SELECTIVE MOTOR NEURONAL DEATH AFTER EXPOSURE OF SPINAL-CORD TO GLUTAMATE - INVOLVEMENT OF GLUTAMATE-INDUCED NITRIC-OXIDE IN MOTOR-NEURON TOXICITY AND NONMOTOR NEURON PROTECTION
M. Urushitani et al., MECHANISM OF SELECTIVE MOTOR NEURONAL DEATH AFTER EXPOSURE OF SPINAL-CORD TO GLUTAMATE - INVOLVEMENT OF GLUTAMATE-INDUCED NITRIC-OXIDE IN MOTOR-NEURON TOXICITY AND NONMOTOR NEURON PROTECTION, Annals of neurology, 44(5), 1998, pp. 796-807
In this study, we analyzed the mechanism of selective motor neuronal d
eath, a characteristic of amyotrophic lateral sclerosis, using embryon
ic rat spinal cord culture. When dissociated cultures were exposed to
low-level glutamate (Glu) coadministered with the Glu transporter inhi
bitor L-trans-pyrrolidine-2,4-decarboxylate (PDC) for 24 hours, motor
neurons were selectively injured through N-methyl-D-aspartate (NMDA) a
nd pha-amino-3-hydroxy-5-methylisoxazole-4-propionate (AMPA)/kainate r
eceptors. Nitric oxide synthase (NOS) inhibitors attenuated this toxic
ity, and long-acting nitric oxide (NO) donors damaged motor neurons se
lectively. Nonmotor neurons survived after exposure to low-dose Glu/PD
C, but Glu-induced toxicity was potentiated by coadministration of an
NO-dependent guanylyl cyclase inhibitor. In addition, 8-bromo-cyclic G
MP, a soluble cyclic GMP analogue, rescued nonmotor neurons, but not m
otor neurons, exposed to high-dose Glu/PDC. Twenty-four hours' incubat
ion with PDC elevated the number of neuronal NOS-immunoreactive neuron
s by about twofold compared with controls, and a double-staining study
, using the motor neuron marker SMI32, revealed that most of them were
nonmotor neurons. These findings suggest that selective motor neurona
l death caused by chronic low-level exposure to Glu is mediated by the
formation of NO in nonmotor neurons, which inversely protects nonmoto
r neurons through the guanylyl cyclase-cyclic GMP cascade. Induction o
f neuronal NOS in nonmotor neurons might enhance both the toxicity of
motor neurons and the protection of nonmotor neurons, which could expl
ain the pathology of amyotrophic lateral sclerosis.